Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Eli Derdik, PA

Individual provider Physician Assistant · NPI 1629532544

Mr. Eli Derdik, PA is a Physician Assistant in Flushing, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023194 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1629532544
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 24, 2019
Last updated in NPPESApril 2, 2022
Certification dateApril 2, 2022
Mailing address5645 Main St, Flushing, NY 11355-5045

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